CareFirst BCBS reimbursement rates in Maryland
CareFirst BCBS's median rate for 97153 (one-on-one ABA therapy by a technician) in Maryland is $24.46 per 15 min, across 71 published rates from 3826 providers. That is 17% above Maryland Medicaid's fee-for-service rate of $20.91.
- Codes with a median
- 106
- 97153 median
- $24.46per 15 min
- Files
- October 2026
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CareFirst BCBS vs Maryland Medicaid
For 97155 (ABA therapy led by the analyst (plan adjusted in session)), the median of CareFirst BCBS's published Maryland rates is $32.61 per 15 min (70 rates, 3826 providers). That is 15% below Maryland Medicaid's fee-for-service rate of $38.34. CareFirst BCBS publishes Maryland rates for 106 of the codes we track. Figures are from the October 2026 files.
| Code | CareFirst BCBS median | Per hour | Maryland Medicaid | TRICARE | Rates (n) |
|---|---|---|---|---|---|
| 97153One-on-one ABA therapy by a technician | $24.46per 15 min | $97.84 | $20.9117% above | — | 713826 providers |
| 97155ABA therapy led by the analyst (plan adjusted in session) | $32.61per 15 min | $130.44 | $38.3415% below | — | 703826 providers |
All 106 CareFirst BCBS codes with a median in Maryland
Frequently asked questions
What does CareFirst BCBS pay for 97153 in Maryland?
The median of CareFirst BCBS's published Maryland rates for 97153 is $24.46 per 15 min ($97.84 per hour), from 71 rates and 3826 providers in the October 2026 files.
Does CareFirst BCBS pay more than Maryland Medicaid for 97153?
CareFirst BCBS's median is 17% above the Medicaid fee-for-service rate of $20.91 per 15 min.
What does CareFirst BCBS pay for 97155 in Maryland?
The median of CareFirst BCBS's published Maryland rates for 97155 is $32.61 per 15 min ($130.44 per hour), from 70 rates and 3826 providers in the October 2026 files.
Does CareFirst BCBS pay more than Maryland Medicaid for 97155?
CareFirst BCBS's median is 15% below the Medicaid fee-for-service rate of $38.34 per 15 min.
How many codes does CareFirst BCBS publish rates for in Maryland?
106 of the behavioral health, ABA, therapy, home health and other codes we track have a CareFirst BCBS median in Maryland. The full list, with ranges and modifier tiers, is in the workspace.